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Life Christain Outreach
Child Intellectual and/or Developmental Disabilities Respite Care in Columbia, Missouri
NPI 1508103896

Life Christain Outreach is a Child Intellectual and/or Developmental Disabilities Respite Care based in Columbia, MO and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Life Christain Outreach practices in Columbia, MO. The NPI Number for Life Christain Outreach is 1508103896 and holds a License No. (Missouri).

The current practice location address for Life Christain Outreach is 3251 Pinetree Dr, Columbia, MO and can be reached out via phone at 573-875-1141.

Location: 3251 Pinetree Dr, Columbia, MO, 65202-7798
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508103896
Provider Name
Life Christain Outreach
Credential
Provider Entity Type
Organization
Address
3251 Pinetree Dr, Columbia, MO, 65202-7798
Phone Number
573-875-1141
Fax Number
Provider Enumeration Date
01/07/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
856254206 05 MO
institution
Provider Business Practice Location Address Details
Address
3251 Pinetree Dr
City
Columbia
State
Missouri
Zip
65201-1706
Phone Number
573-875-1141
Fax Number
person
Provider Business Mailing Address Details
Address
3251 Pinetree Dr
City
Columbia
State
Missouri
Zip
65201-1706
Phone Number
573-875-1141
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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